Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kenneth Wayne Waddell Jr., NP
Nurse Practitioner in Forsyth, GA · enumerated 2018.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1124504782
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Registry record
Entity type Individual (Type 1)
Name Kenneth Wayne Waddell Jr.
Credential NP
Sex Male
Practice address 120 N Lee St Ste A, Forsyth, GA, 31029
Phone (478) 994-0437
Enumeration date Jul 17, 2018
Last updated in NPPES Jul 18, 2018
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN249530 (GA) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority.
About the NP credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Kenneth Waddell?
Kenneth Waddell is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-18.